- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,671.00 / $4,094.00 / $17,026.00
| Facility | | $1,671.00 | $4,094.00 | $17,026.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,341.54 / $5,501.86 / $9,608.20
| Facility | | $1,341.54 | $5,501.86 | $9,608.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,492.46 / $34,492.46 / $34,492.46
| Facility | | $34,492.46 | $34,492.46 | $34,492.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $381.88 / $680.43 / $110,892.00
| Facility | | $381.88 | $680.43 | $110,892.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,852.00 / $67,671.00 / $139,004.00
| Facility | | $9,852.00 | $67,671.00 | $139,004.00 |